穴位放血疗法治疗儿童手足口病的临床疗效观察

Clinical Efficacy of Acupuncture Point Bloodletting Therapy in the Treatment of Hand,Foot and Mouth Disease in Children

目的:观察穴位放血疗法治疗儿童手足口病的临床疗效及安全性。方法:选取2019年2—8月开封市儿童医院收治的96例手足口病患儿作为研究对象,根据随机数表法将其分为对照组和干预组,每组各48例。对照组患儿给予合理饮食、干扰素雾化、碘甘油口腔护理、影响食欲时适当补液等基础治疗。干预组患儿则在基础治疗上予双侧手指少商穴、商阳穴针刺穴位放血疗法治疗。观察两组患儿治疗后临床总有效率、临床症状缓解时间(体温降至正常时间、咽峡部愈合时间、手足皮疹消失时间)、住院总时间及治疗后是否存在不良反应情况。结果:干预组总有效率为97.9%,高于对照组85.4%,两组患儿对比,差异有统计学意义(χ^(2)=3.896,P<0.05);干预组患儿体温降至正常时间(1.25±0.72)d、咽峡部恢复正常(3.60±0.79)d、手足皮疹消失时间(4.04±0.99)d、住院总时间(5.83±1.06)d均短于对照组相应时间(1.67±0.89)d、(4.06±0.60)d、(4.58±0.92)d、(6.31±1.09)d,差异有统计学意义(t=-2.562、-3.200、-2.718、-2.180,P<0.05)。两组患儿均未见明显不良反应。结论:穴位放血疗法是治疗儿童手足口病的有效方法,且安全性较好。

Objective:To observe the clinical efficacy and safety of acupuncture point bloodletting therapy in the treatment of hand,foot and mouth disease in children.Methods:96 cases of children with HFMD in hospitals from February to August 2019 were selected and divided into control and intervention groups according to the random number table method,with 48 cases in each group.In the control group,children were given a reasonable diet,interferon nebulization,oral care with iodine glycerin,and appropriate rehydration when appetite was affected.In the intervention group,the children were treated with acupuncture point bloodletting therapy at Shaosheng and Shang Yang points on both fingers.The therapeutic effect and safety between the control group and treatment group were recorded and compared.The total clinical efficiency,the time of clinical symptom relief(temperature decreased to normal,pharyngeal isthmus returned to normal,and hand and foot rash disappeared),the total hospitalization time and the presence of adverse reactions after treatment were observed in the two groups of children.Results:The total effective rate of the intervention group was 97.9%,which was higher than the 85.4%of the control group,and the difference was statistically significant(χ^(2)=3.896,P<0.05).The time to normalization of temperature([1.250.72]d),normalization of pharyngeal isthmus([3.600.79]d),disappearance of hand and foot rash([4.040.99]d),and total hospitalization time([5.831.06]d)of children in the intervention group were less than the corresponding times in the control group([1.670.89]d,[4.060.60]d,[4.580.92]d,[6.311.09]d),and the differences were statistically significant(t=-2.562,-3.200,-2.718,-2.180,P<0.05).No significant adverse effects were observed in either group of children.Conclusion:Acupuncture point bloodletting therapy is an effective and safe treatment for HFMD in children.